Utilization Review Clinician - Behavioral Health

1 month ago

United States$27.02 - $48.55 per hourFull TimeHealthcare Administration

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Job Description

About the Role

Join Centene Corporation as a Utilization Review Clinician - Behavioral Health in United States. You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Key Responsibilities

Complies with all policies and standards.

Education/Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.

License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.

Master’s degree for behavioral health clinicians required.

Benefits & Compensation

Hourly rate: $48.55/hr.

Work Schedule

Full-time position.

No explicit call, weekend, or night shift information provided.

Apply to join Centene Corporation as a Utilization Review Clinician - Behavioral Health.

Key Skills

Utilization ReviewBehavioral HealthClinical ReviewMental HealthSubstance AbusePrior AuthorizationConcurrent ReviewDischarge PlanningData AnalysisProvider EducationMedical Director InteractionCase PresentationLCSWLMHCLPCLMFT

Requirements

Candidates must be a graduate of an Accredited School of Nursing or hold a Bachelor's degree with 2-4 years of related experience, along with a Master's degree specifically for behavioral health clinicians. Required licensure includes LCSW, LMHC, LPC, LMFT, LMHP, or an active RN license with state/compact licensure.

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Position Insights

Healthcare Administration — healthcare professional Career Context

This Healthcare Administration position at Centene is open to healthcare professional candidates.

Compensation Analysis

Stated compensation: $27.02 - $48.55 per hour.

This position also offers production-based compensation: $49 per hourly. Production bonuses can significantly increase total earnings above the stated base salary range.

Location & Logistics

This position is based in United States.

Skills, Responsibilities & Benefits

Key skills and qualifications: Utilization Review, Behavioral Health, Clinical Review, Mental Health, Substance Abuse, Prior Authorization, Concurrent Review, Discharge Planning. Candidates with experience in these areas may be especially well-suited for this Healthcare Administration role.

Core responsibilities: The clinician performs clinical reviews and assessments for mental health and substance abuse care, monitoring and determining the medical appropriateness of the level of care and services before, during, and after treatment. Responsibilities also include performing prior authorization reviews, conc...

Benefits package: Health insurance, 401k, Stock purchase plans, Tuition reimbursement, Paid time off, Holidays. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

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